Aetna Case Management Coord in Louisville, Kentucky

Req ID: 42390BR

Join our growing team in Louisville, KY Office!

POSITION SUMMARY

As a Case Management Coordinator, you will be responsible for behavioral health discharge follow-up and telephonic service coordination in the state of Kentucky.

Fundamental Components:

The Care Management Coordinator's primary responsibility will be completing telephonic discharge follow-up calls for Aetna Better Health of Kentucky members being discharged from behavioral health hospitals and inpatient psychiatric facilities as required under the Medicaid Managed Care Organization contract with the state and outline in HEDIS measures. The position may be required to case manage members identified as supportive service candidates, service coordination including locating behavioral health providers, other providers as appropriate and serve as the MCO representative for state hospital meetings.

BACKGROUND/EXPERIENCE desired:

2 years experience in behavioral health, social services or appropriate related field equivalent to program focus (Required)LCSW (Required)Behavioral case management and behavioral health discharge planning (Required)Managed Care experience (Preferred)Case management and discharge planning experience (Preferred)Crisis intervention skills (Preferred)Foster Care and pediatric behavioral health experience (Preferred)

EDUCATION

The highest level of education desired for candidates in this position is a Master's degree.

LICENSES AND CERTIFICATIONS

Mental Health/Certified-Advanced Social Work Case Manager is required

Managed Care/Managed Healthcare Professional is preferred

FUNCTIONAL EXPERIENCES

Functional - Medical Management/Medical Management - Case Management/1-3+ Years

Functional - Medical Management/Medical Management - Discharge planning/1-3+ Years

Functional - Medical Management/Medical Management - Managed Care/Insurance Clinical Staff/1-3+ Years

TECHNOLOGY EXPERIENCES

Technical - Desktop Tools/Microsoft Explorer/1-3+ Years/End User

Technical - Desktop Tools/Microsoft Outlook/1-3+ Years/End User

Technical - Desktop Tools/Microsoft Word/1-3+ Years/End User

Technical - Desktop Tools/Microsoft PowerPoint/1-3+ Years/End User

Telework Specifications:

Position will be in Office in Louisville, KY.

Telework is based on budget, seniority, must work in the office at least 6-9 months without performance issues. Telework is not guaranteed.

ADDITIONAL JOB INFORMATION

No weekends, holidays and opportunity for growth.

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Job Function: Health Care